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Home My WebLink AboutPermit Electrical 2009-6-17 Electrical Anthorization To Begin Work E-mailedTo:gmdelectric@comcast.net Receipt # ji:C553909 61i 7120093:48:38 PM f\0 ~/% () .City of Springfield Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us "~':I - I I 0 New construction lliJ Addition/alterationJreplacemcnt I Description IlliJ I or 2 family dwelling I: I Job no.: [Job address: 850 PRESCOTT LN ICily/State/ZIP: SPRINGFIELD, OR 97477-3627 I Suite/bldg./apt.no.: I Project name: o Multi-family o Commercial/Industrial Il,OOOsq, ft. or less [4] I Ea. add! 500 sq. n. or portion r . . ~P" ,~k I; I Subdivision: !TlIXmap/parcelno.: 1703341209600 I Lot no.: . I - Limited-energy, residential (with above Sq. ft.) I . Limited energy, multifmllily residential (with above Sq. ft,) I-Limited energy, commercia-I pot offered online at this jurisdiction (with above-sQ, n.) I - Swnd-alone limited energy, residential I - Stand-alone limited energy, multi-family - Stand-alone limited energy, commercial li~:~~;;::~;';ri:~PI'ciiJlp~~Iier~t~t~~.D~()~!OC'!i;~n.{74>'I 120 I amps to 400 amps [iJ 140 I amps to 599 amps [2J I:' 1 Cross street/directions to job site: Centennial (L) onto Prescott RetTO Gas Furnace 1200 umps or less [2J 1201 amps to 4UO amps [2] 140 I amps to 599 amps [2] 1,~~i.~n~lt~~i'ii~~Fl~Y:,aJJer#~,~~~:',2~fe~t~n'~~,~~;''pir~~~'n!I~.~C '~, I A. Fee for branch tircui[s with ' service or feeder fee, each ~~a;~: ~~~c~b~;~J~'~: 8- e;~~ lal' rZ~b::~2~ ~'~ I withom ",j;uJI(jj~[em}lllla. adc pted by~e dre6~ n UMitr firstbram!tleiI,CUit..(i'linn rant ~r Thl1 Ip.~ arE set forth I eachaddl//\~Mi['}lj!l2-001-(I01Othro qh OARS52-001- 1:~~Iw~~-6!-'",YQliJTIgYiiQ.l:!.@fi'cQpjis.;cinh();iyl~~.I:lY I ServICe reco.ooJli6n1} 1jtl]3 cen .er. (NOli: me e pone I Eacli ~Iiil11uIlli.tilltlW6frrrl&mlli.tH~ -..11 e~ull ~ ;liiii.y ~~vi:fi;....al;vll dwcllmpervlC,"od/<(!:lEf1Wr i . 1-800-332-2344) [21 I Pump or irrigation mele [2] I I I Sign or outline lightmg [2] I Signal circuit(s) or li.l'nited- I I alteratlOn, or ~:<'~JI~gL~I9A~:~'~~~!!;~~ES::tfj}I~~" c 11 Subtotal $55.00 Minimum fee llsedinstead of Sub IOta I $58.00 I State Surcharge (12% ofpennil fee) $6.96 I City OfSpringfidd fees" $2.90 I I TO"IC<L PERM'H'EE $67.86 I * City Ot Sprmgfield fees: 5% Technology Fee IName: Jerry Blair !Phone: I[mail: IFn" lEI. 'k. no.: tiPtl'Vf('J:. ICC8Iic.no.: 162191 IBus;oessN~~~Wfl1ftf~_~ ICYP1Rj:: 11: nH: wnRK ICon'nc': Mi\c~~~~~~tJ'fslDE[:l nllS Pj::RMIT I~ ~IQT IAddress 915{j~MI~m~V~R It .^.B.^.NDONED Fn[:l Gty/S,n,el7;{ ~ifP~lJifFt7f1l1 <fJ'E~ch. IPhone: (541)7417369 I Fax.: (541)9881800 I.:mail: gmdelectric@comcast.net I Metro lie. no.: i Supervising electriciall'slic. no.: 48745 I Supervising electrician's name: MICHAEL K GOWINS I City lie. no.: Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use la~ and local ordinances. ~~~\\) This Authorization To Begin Work must be posted at the job site until replaced by a Permit LQ Il:rl D9 ._...".mll1"'Ji;t~~, I, Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD " , BuiIding/Cqmbination Permit PERMIT NO: COM2009-00875 ISSUED: 06/17/2009 " APPLIED: 06/17/2009 EXPIRES: 12/17/2009 VALUE: ' SITE ADDRESS: 850 PRESCOTT LN ASSESSOR'S PARCEL NO.: 1703341209600 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Replace HIP & Gas furnace Owner: OAKLEY LIVING TRUST Address: 850 PRESCOTT LN SPRINGFIELD OR 97477 TYPE OF USE: New, Residential Phone Number: 541-741-2875 I CONTRJKTOR INF?~~ATlON . Contractor Type Electrical Mechanical Contractor GMD ELECTRIC INC COMFORT FLOW HEATING CO. License 162191 460 Expiradon Date 11119/2010 0612 i 12011 Phone 541-726-8601 541-726-0100 BUILDING INFORMATION I # of Uilits: Primary Occupancy Group: Secondary Occupancy Group: Primary Constmction Type Secondary Constmction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: nla Lot Size: Sq Ft I,st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft qaragelCarport Sq Ft Other: Occupknt Load: , I DEVELOPMENT INFORMATION' Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS,' Street Im~<<'Di"let:': Storm Se~~~15>fli~!i11'Wr SHALL EXPIRE IF THrr: WORK Specialln/!,trn'lWlVllzm UNDrr:R THIS PERMIT IS NOT Notes: COMMrr:NCED OR IS ABANDONm FOR ANY 180 DAY PERIOD. Paee I of 3 :, REQUIRED PARKING Total: Handicapped: :, Compact: Sidewalk Type: . ATTElNWtG{lbdilrfiQ)1aiiIkJ.w requires you to follow rules adopted by t~e Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtail] copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). _se"",!!!gF,;Ll!l;-l:Ii.' ji I I Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00875 ISSUED: 06/17/2009 APPLIED: 06/17/2009 EXPIRES: 12/1712009 VALUE: r 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project .~~~~ Pa.irl I Fee Description + 12%'State Surcharge + 5% Technology Fee 1st Appliance Furnace - up to 100,000 btu "eat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Amount Paid Date Paid Receipt Number $13.56 $5.65 $79.00 $17.00 $17.00 $6.96 $2.90 $58.00 6117109 6117109 6117109 6117109 6117109 6118109 6118109 6118109 3200900000000000465 3200900000000000465 3200900000000000465 3200900000000000465 3200900000000000465 1200900000000000701 1200900000000000701 1200900000000000701 Total Amount Paid $200.07 I Plan Reviews I "; To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I R~ll..uirerl !.n~r.~cti.o~s I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Paee 2 of 3 SBAINGI1'IlQ,;ll\,; -"'1:""".... ..""... i Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00875 ISSUED: 0'6/17/2009 APPLIED: 06/17/2009 EXPIRES: 1'2/17/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line " By signature, I state and agree, that I have carefully examined the completed application and do hheby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with " the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Servi~es Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each ~ddress is readable from the street, that the permit card is located at the front uf the pr~perty, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Daie Pa2e 3 of 3 22:r Fifth Street Spdngfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00875 COM2009-00875 COM2009-00875 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description Add, Alter, Extend Circ + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS ~~. City of Springfield Official Receipt Develop'ment Services Department Public Works Department 1200900000000000701 Date: 06/18/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE GMD Online ELECTRIC Payment Total: Page 1 of 1 8:24:IOAM Amount Due 58.00 2.90 6.96 $67.86 Amount Paid $67.86 $67.86 611812009